{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T23:52:10Z","timestamp":1781567530884,"version":"3.54.5"},"reference-count":29,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facial Plast Surg"],"abstract":"Abstract<\/jats:title>\n The resting angle forms between the lateral crus of the lower lateral cartilage (LLC) and the upper lateral cartilage. While conventional nasal valve repair relies on cartilage grafting for reinforcement of these structures, the functional significance of resting angle adjustment remains underexplored.<\/jats:p>\n We describe a technique to reposition the LLC, adjusting the resting angle to support the lateral nasal wall and restore external nasal valve (ENV) function without grafts, with the hypothesis that this approach improves functional and aesthetic outcomes.<\/jats:p>\n Retrospective cohort study.<\/jats:p>\n We retrospectively identified patients with ENV collapse-related nasal obstruction who underwent the described surgery. Pre- and postoperative peak nasal inspiratory flow (PNIF) measurements and FACE-Q scores were compared to evaluate functional and aesthetic improvement, respectively.<\/jats:p>\n Thirty patients (22 female, 8 male) were included. Postoperatively, median PNIF increased from 74.0 L\/minute (interquartile range [IQR]: 73.0\u201376.0; 95% confidence interval [CI]: 72.5\u201375.5) to 96.0 L\/minute (IQR: 93.0\u201397.0; 95% CI: 94.0\u201397.5), and median FACE-Q Satisfaction with nose scores from 17 (IQR: 16.0\u201318.0; 95% CI: 16.0\u201317.5) to 37 (IQR: 35.0\u201338.0; 95% CI: 36.5\u201337.5); both improvements were statistically significant (p\u2009<\u20090.001).<\/jats:p>\n Resting angle correction may not only improve aesthetics, but also stabilize the lateral nasal wall to prevent or repair ENV collapse.<\/jats:p>","DOI":"10.1055\/a-2890-3279","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T23:12:02Z","timestamp":1780960322000},"source":"Crossref","is-referenced-by-count":0,"title":["Resting Angle Correction beyond Aesthetics: A Retrospective Cohort Study Demonstrating Its Role in Nasal Valve Repair"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-5116-8136","authenticated-orcid":false,"given":"Mahmoud","family":"Daoud","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, \u201cCarol Davila\u201d University of Medicine and Pharmacy, Romania","place":["Bucharest"]},{"name":"Cronos Med Medical Centre, Romania","place":["Bucharest"],"department":["Department of Otolaryngology and Head and Neck Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1226-8933","authenticated-orcid":false,"given":"Maria Louise","family":"Fufezan","sequence":"additional","affiliation":[{"name":"Floreasca Emergency Hospital, Romania","place":["Bucharest"],"department":["Department of Plastic and Reconstructive Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5623-2981","authenticated-orcid":false,"given":"Walid","family":"Bahaa-Eddin","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, \u201cCarol Davila\u201d University of Medicine and Pharmacy, Romania","place":["Bucharest"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5250-9219","authenticated-orcid":false,"given":"Luana-Maria","family":"Gherasie","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, \u201cCarol Davila\u201d University of Medicine and Pharmacy, Romania","place":["Bucharest"]},{"name":"\"Prof. Dr. D. Hociota\" Institute of Phonoaudiology and Functional ENT Surgery, Romania","place":["Bucharest"],"department":["Department of Functional ENT Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viorel","family":"Zainea","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, \u201cCarol Davila\u201d University of Medicine and Pharmacy, Romania","place":["Bucharest"]},{"name":"\"Prof. Dr. D. Hociota\" Institute of Phonoaudiology and Functional ENT Surgery, Romania","place":["Bucharest"],"department":["Department of Functional ENT Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,6,15]]},"reference":[{"key":"ref1","first-page":"49","volume-title":"Alar Cartilages","author":"R K Daniel","year":"2018"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1177\/1090820X13478968","article-title":"Rhinoplasty: surface aesthetics and surgical techniques","volume":"33","author":"B \u00c7akir","year":"2013","journal-title":"Aesthet Surg J"},{"key":"ref3","volume-title":"Teorhinoplasty: A Minimalist Approach","author":"T Dogan","year":"2020"},{"key":"ref4","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-031-74734-2","volume-title":"Septal Surgery Challenges in Rhinoplasty","author":"F 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Rhinol."},{"issue":"04","key":"ref15","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1001\/jamafacial.2013.2552","article-title":"Lower lateral cartilage repositioning: objective analysis using 3-dimensional imaging","volume":"16","author":"A Bared","year":"2014","journal-title":"JAMA Facial Plast Surg"},{"issue":"02","key":"ref16","doi-asserted-by":"crossref","first-page":"158","DOI":"10.5999\/aps.2020.01648","article-title":"Cephalic lateral crural advancement flap","volume":"48","author":"F Bulut","year":"2021","journal-title":"Arch Plast Surg"},{"issue":"03","key":"ref17","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1007\/s00238-019-01595-x","article-title":"A novel tip suture technique in rhinoplasty: lateral crus caudocephalic rotation suture","volume":"43","author":"C Cabbarzade","year":"2020","journal-title":"Eur J Plast 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rhinoplasty without cartilage grafting from a second donor site in an Asian population","volume":"2","author":"N Ohba","year":"2023","journal-title":"J Plast Reconstr Surg"},{"issue":"05","key":"ref25","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1016\/j.bjps.2009.01.076","article-title":"Cartilage Z plasty on lateral crus for treatment of alar cartilage malposition","volume":"63","author":"F Oktem","year":"2010","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"02","key":"ref26","doi-asserted-by":"crossref","first-page":"536","DOI":"10.12816\/0037803","article-title":"Surgical correction of alar collapse with alar batten graft : technique and results","volume":"67","author":"A AK Saad","year":"2017","journal-title":"Egypt J Hosp Med"},{"issue":"02","key":"ref27","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1007\/s00266-022-03034-y","article-title":"Frequency, indications and intraoperative dynamics of repositioning of the lateral crura of the lower 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